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Deactivated NPI 1376984930 Deactivated / Inactive NPI Female Practitioner

Corlis Renee Johnson , PHARMACIST

Naturopath • Winter Haven, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Corlis Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 11, 2013
NPI Deactivation Date September 12, 2017
Total Practice Duration ~4 Years of Practice (2013 – 2017)

Professional Overview & Biography Verified Profile Summary

Corlis Johnson, PHARMACIST was a registered Naturopath practicing in Winter Haven, FL. Throughout an active medical career spanning 4 years, Corlis Johnson provided care at the practice location at 3015 CYPRESS GARDENS RD until profile deactivation on 2017-09-12.

Practice Location & Contact Primary Location

Practice Address

3015 Cypress Gardens Rd

Winter Haven, FL 338842258

Telephone 9046006815

Specialty Benchmarks & Practice Insights

Comparative analytics for Naturopath in Winter Haven, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Winter Haven, FL (68 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Naturopath Primary Specialty

NUCC Taxonomy Code: 175F00000X

State License MO 102032018

Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Sarah Solis Diaz

Physical Therapist

NPI 1396603080

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 12, 2017

Record deactivated on September 12, 2017

NPI Profile Active September 30, 2015

NPI status registered as active in NPPES database

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Updated Practice Location September 30, 2015

Registered at 3015 CYPRESS GARDENS RD, WINTER HAVEN, FL 338842258 (Tel: 9046006815)

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Updated Business Mailing Address September 30, 2015

Registered at 6039 CYPRESS GARDENS BLVD, UNIT 234, WINTER HAVEN, FL 338844115 (Tel: 9046006815)

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Provider Name / Credentials Updated September 30, 2015

Recorded as CORLIS JOHNSON, PHARMACIST

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2015

Naturopath (License #102032018 in MO)

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Initial NPI Registration & Enumeration July 11, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376984930
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2013
Last Update: September 30, 2015
Deactivation Date: September 12, 2017

Mailing Address

6039 Cypress Gardens Blvd, Unit 234

Winter Haven, FL 338844115

Phone: 9046006815

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.